Kenneth Daniel Fuller, LMT is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Kenneth Daniel Fuller, LMT NPI is 1326665670. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
9112 N POLK AVE
PORTLAND, OR
ZIP 97203-320
Phone: (503) 660-6154
The enumeration date for this NPI number is 7/2/2020 and was last updated on 7/2/2020.